Follow the steps to complete your Roofing Installation Information And Certification form.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Enter the roofing company name in the designated field. Ensure that you print the name clearly for identification purposes.
3. Fill in the license number of the roofing company next, followed by the street address, phone number, city, state, and zip code.
4. Input the address of the residence where the installation was completed. An installer or inspector must complete this section before signing the form.
5. Provide the owner’s name and their home and office phone numbers. Also, fill in the city, state, and zip code of the residence.
6. An authorized representative of the roofing company should confirm their inspection or installation by entering their name in the appropriate field. This person will certify compliance with the manufacturer’s specifications.
7. Specify the classification of impact resistance for the roof covering. Indicate if it complies with UL 2218 or FM 4473 standards, and if necessary, provide additional information.
8. Detail the type of roof installed, such as composition asphalt, and ensure this section is complete and accurate.
9. List the manufacturer’s name, the year manufactured, brand name, and installation date in the required fields.
10. Check the applicable labeling option for the roof covering product. Indicate whether the product packaging or each individual unit bears the necessary classification and labeling.
11. Secure the original signature of the roofing company’s authorized representative along with the date of signing.
12. Review all information for accuracy. Once confirmed, you can save changes, download, print the form for signature, or share it as required.

Complete your Roofing Installation Information And Certification form online today for the potential reduction in your residential insurance premiums.